scholarly journals Experiencia vivida del primer contacto con muerte en prácticas clínicas de estudiantes de enfermería

2022 ◽  
Vol 21 (1) ◽  
pp. 116-139
Author(s):  
Manuel de Jesús Hernández Ramírez ◽  
Erika Yovana González Martín ◽  
Ashlye Melannie Fuentes Rodríguez ◽  
Suleika Alelí Carranza López ◽  
Violeta Compeán Padilla ◽  
...  

Introduction: Death is a complex phenomenon, nurses in training may face the process of dying and death of people, which can generate diverse situations that represent their lived experiences. Objective: To understand the lived experience of the first contact with death during clinical practicum of nursing students at a public university.Methodology: Qualitative study with phenomenological approach. It was conducted from October 2020 to February 2021. Selection of participants by intentional sampling with information saturation with seven participants. Data collection through phenomenological interview; participants gave informed consent. The analysis was carried out through the three phases of Max Van Manen's hermeneutic phenomenological method (description, interpretation, description plus interpretation). Results: The students refer to having been faced with the phenomenon in a state of helplessness, blockage, uncertainty, and fear; as well as facing death in a professional and reflective manner in order to provide quality care. Discussion: Death is a natural process; however, the first experiences are diverse and can produce in the students a set of emotions that condition their capacity to act, the way of adapting and observing the needs that arise during this experience. Conclusion: The experiences of nursing students show that they have difficulties in facing death, but it was not an impediment to provide the necessary care; it is considered that a deeper preparation on the process of dying can be favorable for their performance as professionals. Introducción: La muerte es un fenómeno complejo, las enfermeras en formación pueden enfrentarse al proceso de morir y muerte de personas, lo que puede generar diversas situaciones que representan sus experiencias vividas. Objetivo: Comprender la experiencia vivida ante el primer contacto con la muerte durante prácticas clínicas de estudiantes de enfermería de una universidad pública.Metodología: Estudio cualitativo con enfoque fenomenológico. Se llevó a cabo de octubre del 2020 a febrero del 2021. Selección de participantes por muestreo intencional con saturación de información con siete participantes. Recolección de datos a través de entrevista fenomenológica; los participantes emitieron su consentimiento informado. El análisis se llevó a cabo por las tres fases del método fenomenológico hermenéutico de Max Van Manen (descripción, interpretación, descripción más interpretación). Resultados: Los estudiantes refieren haber estado frente al fenómeno en un estado de impotencia, bloqueo, incertidumbre y miedo; así como afrontaron la muerte de manera profesional y reflexiva para brindar cuidado de calidad. Discusión: La muerte es un proceso natural, sin embargo, las primeras experiencias son diversas y pueden producir en los estudiantes un conjunto de emociones que condicionan su capacidad de actuar, el modo de adaptarse y observar las necesidades surgidas durante esta experiencia. Conclusión: Las experiencias de los estudiantes de enfermería demuestran que tienen dificultades para afrontar la muerte, pero no fue un impedimento para brindar los cuidados necesarios; se considera que una preparación más profunda sobre el proceso de morir puede ser favorable para su actuar como profesional.

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eileen Mary Willis ◽  
Deidre D. Morgan ◽  
Kate Sweet

PurposeThe purpose of this study is to examine the way in which the theoretical construct of liminality contributes to understanding the process of dying of cancer from the perspective of patients, carers and professionals in a state-run organization undergoing privatization.Design/methodology/approachQualitative interviews were held with 13 patients and their carers and two focus groups with eight physiotherapists and occupational therapists. Data were analysed from the perspective of liminality for all three actors: patients, carers and health professionals.FindingsThe theoretical construct of liminality was useful for understanding the lived experience of patients and their carers. However, a major finding of this study reveals that health professionals operated in a dual space as both managers of the ritual process and individuals undergoing a liminal journey as their organization underwent transformation or restructure. Clients and carers had little knowledge of these tensions.Research limitations/implicationsThe findings are limited by the fact that the interviews did not directly ask questions about the restructure of the organization.Social implicationsIt would appear that professionals provide quality care despite their own struggles in moving from one organizational form to anotherOriginality/valueFew studies have explored the liminal rituals of dying at home that outline how professionals, as managers of the process, deal with their own liminal issues.


Author(s):  
Cynthia Superable

Domestic violence is prevalent not only in the Philippines but also in other countries. This study explored how battered women viewed their experiences as victims using a hermeneutic phenomenological approach (van Manen, 2016). Using purposive sampling and snowball technique, the study identified six battered women who were interviewed using researcher-made guide questions. The responses generated from the interviews were transcribed and analyzed using Heidegger's hermeneutic phenomenology which aimed to understand the lived experiences of the participants. Four central themes were identified, namely recurrence of physical abuse, endurance to pain, disempowerment of women, and love for family. Battered women prefer to stay home and endure their husbands’ battering to protect children and family from social stigma.


2012 ◽  
Vol 34 (2) ◽  
pp. 170-188 ◽  
Author(s):  
Maggie Crain ◽  
Corinne Koehn

This study explored the lived experience of hope for domestic violence support workers. A hermeneutic-phenomenological approach was used to collect and analyze the experiences of six professional women, aged 37 through 69. Four themes, each with subthemes, emerged from the findings: Hope is visceral reveals the phenomenology of hope as experienced through bodily sensations, reactions, and emotions. Hope is contextual describes how experiences of hope are enhanced by personal perspectives and social environments. Hope is mutual reveals how interactions with other people inspire hope. Hope is a journey illustrates how hope evolves over the years to reveal new understandings of what it means to live hopefully. The article discusses implications for counseling, counselor education, and service provider organizations and presents suggestions for future research.


2008 ◽  
Vol 12 (4) ◽  
pp. 44-49 ◽  
Author(s):  
Dina C. Byers, ◽  
Nancey E.M. France,

The phenomenon of interest for this study was the registered nurse’s (RN’s) lived experience of caring for patients with dementia in the acute care setting. Watson’s theory of human science and human care and van Manen’s hermeneutic phenomenological approach were used to guide this study. The strategies used for the generation and analysis of data were tape-recorded open-ended interviews, field notes, and the researchers’ audio-taped journal. Upon saturation, two themes and a synthesis of unity emerged across all participants. The implications for practice were clearly communicated by the RNs in this study. Further research is recommended.


2018 ◽  
Vol 24 (4) ◽  
pp. 379 ◽  
Author(s):  
Mijong Kim ◽  
Taeim Kim ◽  
Donna Scott Tilley ◽  
Ann Kapusta ◽  
Denise Allen ◽  
...  

Author(s):  
Yajaira Hernández González

There are specific competencies that a nurse must develop and master in order to provide quality care to the patients they serve. Not only in the field of care in general but in particular in care at the end of their lives. These skills must be learnt with adequate basic academic training, which will allow mastery in these areas and thus provide the best quality of care for patients and their families. In this article, we briefly approach the daily and regular care developed when caring for patients at the end of their lives and the level of knowledge imparted to nursing students in the undergraduate studies currently existing in Spain, in particular the subjects related to care at the end of life in these universities. We also compare the data on the situation in our country five years ago and at present, to see what progress has been made, in addition to examining the quantity and quality of such knowledge and the training provided in our country


Author(s):  
Juris Zuitiņš ◽  
Anita Pipere ◽  
Velga Sudraba

With the escalating use of qualitative methods in health psychology, the need for the careful match between the studied topic and research design has been repeatedly stressed. The purpose of this study is to choose and substantiate the most compatible methodological approach for the use in the prospective phenomenological doctoral research investigating a lived experience of fathers of fatally ill child. This methodological paper compares three main phenomenological research approaches: Hermeneutic Phenomenology (van Manen, 1990), Psychological or Transcendental Phenomenology (Moustakas, 1994) and Interpretative Phenomenological Analysis (Smith, 1996). The comparative analysis of these three approaches to phenomenological research shows that the Interpretative Phenomenological Analysis could be viewed as the most appropriate approach for analyzing the lived experience of fathers of fatally ill child considering the specific sample of this study, character of the research topic and experience of researcher with phenomenological studies. The methodological underpinnings and possible issues of chosen approach have been discussed at the end of paper.


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